원저

애성환자의 임상통계적 관찰

이종호1, 박철민1, 전완석1, 김홍식1, 김혁1
Jong Ho Lee1, Chul Min Park1, Wan Suck Jun1, Heung Sik Kim1, Hyuck Kim1
Author Information & Copyright
1서울 적십자병원 이비인후과
1Department of Otolaryngology, Red Cross Hospital, Seoul, Korea

© Copyright 1991 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

A clinico-statistical study was performed on 333 cases with chief complaint of hoarseness at the department of otolaryngology, Red Cross Hospital, Seoul during the past 5 years from Jan. 1986 to Dec. 1990.

The results were as follows:

  1. Among the total new out-patients of 11, 351 who visited the dept, of otolaryngology, the patients with hoarseness were 333 cases(2.9%).

  2. The underlying diseases causing hoarseness in order of frequency were laryngeal nodule(70 cases, chronic laryngitis(68 cases, 20.4%), vocal polyp(40 cases, 12%), acute laryngitis(35 cases, 10.5%),vocal cord paralysis(24 cases, 7.2%),laryngeal cancer (13 cases, 3.9%),laryngeal tuberculosis(11 cases, 3.3%). Also, the normal finding on physical examination of larynx were seen on 32 cases(9.6%) and unknown etiology were 21 cases(6.3%).

  3. Among above 333 cases, male were 179 cases and female were 154 ones. The incidence was slightly higher in male than female with ratio 1.16 to 1 in sex distribution. Particulary, larygeal cancer and vocal polyp were extremely high in male but the others were equally distributed in both sex gorup.

  4. The incidence of age causing hoarseness in order of frequency were 3rd decade (100 cases, 30%), 4th decade(88 cases, 26.4%), 2nd decade(42 cases, 12.6%) and 5th decade (41 cases, 12.3%).

  5. The highest incidence of the duration from the onset of hoarseness to consultation was between lldays to 1 month in 64 cases(l9.2%).

    The number of patients who visit hospital within 3 months were 162 cases(48.6%) and over 1 year were 48 cases(l4.4%).

  6. The highest incidence of associated symptom with hoarseness was sore throat(62 cases, 18.6%) and in decreasing order were sputum, foreigh body sensation, swallowing difficulty, cough and dyspnea. Hoarseness without associated symptom were seen on 162 cases(48.6%).

  7. A great number of patients with ployp or nodule were not related to abuse of voice in our outpatients group.

Keywords: Hoarseness


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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